Nationally Registered Certified Medical Assistant (NRCMA) (NAHP) Practice Exam

For a patient to receive 'pay in full' benefits under the Blue Shield program, their physician must be?

1. Board Certified

2. A Participating Physician

3. An In-network Provider

4. A General Practitioner

The correct answer is: A Participating Physician

To receive 'pay in full' benefits under the Blue Shield program, the patient's physician must be a participating physician. This means that the physician has agreed to accept Blue Shield's payment schedule and has a contract with Blue Shield. Option A, board certification, is not a requirement for a physician to be considered a participating physician. Option C, an in-network provider, may also seem like a valid answer, but it is not specific enough. Being in-network just means that the provider is contracted with Blue Shield, but it does not guarantee 'pay in full' benefits. Option D, a general practitioner, is a type of physician but does not specifically address the requirement of being a participating physician.